Individual
ALISON JANE GOODRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
61039 SNOWBERRY PL, BEND, OR 97702-9171
(386) 503-2006
Mailing address
61039 SNOWBERRY PL, BEND, OR 97702-9171
(386) 503-2006
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13063
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
892785500
—
FL
Enumeration date
01/28/2008
Last updated
01/23/2025
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